基于数据挖掘的精神萎靡状态用药规律研究

Analysis of the Treatment of Depressed State of the Prescription Rules Based on Data Mining

目的:运用"中医传承辅助平台"软件,基于数据挖掘的方法,总结中医治疗精神萎靡状态的用药规律。方法:收集并筛选《中华医典》中有关精神萎靡状态的医案,逐一录入"中医传承辅助平台",采用软件集成的数据挖掘方法进行规律分析。结果:从筛选出的符合要求的167个医案中,归纳出精神萎靡状态的症状频次、药物频次、症-药关联规律及药物归类分析。其中出现频次最高的症状为神疲、困倦、饮食减少;使用频次最高的药物为人参、甘草、茯苓、白术、黄芪;对神疲的治疗以补心安神、温补阳气为主,对困倦的治疗以益气养血、升提气机、化痰除湿为主,对饮食减少的治疗以疏肝解郁、化瘀通络、健脾化痰为主;药物归类分析发现对精神萎靡状态的治疗重视补虚、安神、辛散气机药物的使用。结论:精神萎靡状态的主要症状包括"神""形"两方面的虚损,治疗多以补益药物为主,并佐以解郁散结、安神除烦等药物,体现了补养脏腑、调养形神、通调气机的治疗原则。

Objective：Through the software of ＂Traditional Chinese Medicine Inheritance Support System（TCMISS）＂ and the method of data mining,summarize the using drugs regularity of traditional Chinese medicine to treat energielos.Methods：Collect and screen the medical cases in Chinese Canon of Medicine related to energielos to enter into ＂Traditional Chinese Medicine Inheritance Support System＂,and conduct regularity analysis with the method of data mining of software integration.Results：Summarized the symptom frequency,medicine frequency,symptom-medicine correlation regularity,and drug classification analysis of the energielos status from 167 cases screened with certain requirements.The most frequent symptoms were weariness,sleepiness and poor appetite;drugs used the most include：Renshen（Ginseng）,Gancao（Liquorice）,Fuling（Poria Cocos）,Baizhu（Atractylodes Macrocephalae）,Huangqi（Astragalus）.To treat weariness,the main therapies should be to nourish the heart and sooth the nerves as well as activate Yang-Qi.To treat sleepiness,the main therapies should be to reinforce Qi and replenish blood,elevate Qi movement,eliminate phlegm and dampness.To treat poor appetite,the main therapies should be to disperse stagnated liver and relieve depression,disperse blood stasis and unblock collateral channels,strengthen spleen and reduce phlegm.By medicinal categorization analysis,it is found that the main therapies for spirits atrophy should be to take those medicines that tonify and soothe nerves,supplemented by the medicine that diverges Qi movement.Conclusion：The main symptoms of the energielos status include the two-side asthenic disease both physically and mentally and the treatment is mainly using tonifying medicine with resolving depression fights and relaxing meditation drug as the subsidiary,demonstrating the therapeutic principle of tonifying viscera,nourishing physical and psychological status,and regulating Qi flow.